Insurance Verification II – Part Time – Virtual

🔥 0 minutes ago

🇺🇸 United States – Remote

⏱ Part Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Wellstar Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1992

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Wellstar Health System is a comprehensive healthcare organization dedicated to providing personalized and compassionate care to patients in Georgia and South Carolina. With a diverse range of career opportunities, Wellstar supports its employees' career growth and wellbeing through a positive culture, excellent benefits, and a focus on diversity, equity, and inclusion. The organization emphasizes the importance of treating both patients and staff with respect and care, making it a sought-after workplace in the healthcare industry. Wellstar is committed to offering high-quality healthcare services and maintaining strong community engagement.

📋 Description

• Verify patient information and confirm insurance payer plans are current • Research EPIC history for recent payer information when insurance is absent • Contact physician practices or patients to obtain coverage information • Escalate issues for approval to prevent patient service delays • Respond professionally to patients, clerical staff, and insurance companies • Update accounts while maintaining accuracy and confidentiality • Collect estimated self-pay balances and arrange payment with guarantors • Complete financial evaluations and identify patients lacking adequate insurance • Determine potential eligibility for financial assistance programs, including Medicaid • Refer patients and guarantors to outside funding assistance • Contact scheduled patients before admission to obtain information and explain financial policies • Interview inpatients and selected self-pay outpatients to verify insurance and financial information • Document collection activity, patient interactions, referrals, and account balances • Coordinate financial counseling with registration, utilization review, nursing, social services, and patient financial services • Verify insurance coverage, benefits, copayments, deductibles, and out-of-pocket maximums • Assist with prior authorizations and verify demographic and payer information • Track and follow up on outpatient authorizations • Process explanations of benefits and authorizations • Resolve insurance verification, coverage edits, and payer denials in work queues • Meet productivity quotas and report self-pay collection results • Answer incoming calls and follow through on requests • Maintain courteous working relationships and provide professional customer service • Perform mandatory training, attend selected departmental meetings, and complete other assigned duties

🎯 Requirements

• High School Diploma or GED required; Associate's degree preferred • Minimum 1 year of experience in healthcare or an institutional work setting required • Computer/data entry experience required • CHAA, CPAR, CRCR, or CRCR-P certification required upon hire; CRCR-P certification permitted within 120 days • Ability to communicate with various members of the healthcare team • Effective written and verbal communication skills • Attention to detail • Self-directed and positive attitude • Effective problem-solving and critical-thinking skills • Working knowledge of patient registration systems preferred • Intermediate Microsoft Office Suite skills preferred • Epic experience preferred • Ability to maintain required certifications through CEUs • Ability to meet minimum productivity requirements and registration accuracy standards • Ability to work as a preceptor for new patient access personnel and students

🏖️ Benefits

• Part-time schedule • Virtual/remote work arrangement • Supportive work environment • Meaningful work in healthcare • Training and development through mandatory monthly, quarterly, and annual training • Opportunity to serve as a preceptor and mentor • Professional certification maintenance through CEUs